scholarly journals A Physician-Driven Solution—The Association for Medical Ethics, The Physician Payment Sunshine Act, and Ethical Challenges in Pain Medicine

Pain Medicine ◽  
2011 ◽  
Vol 12 (9) ◽  
pp. 1361-1375 ◽  
Author(s):  
Danielle Perret ◽  
Charles Rosen
Keyword(s):  
Medical Ethics ◽  
Pain Medicine ◽  
Ethical Challenges ◽  
Physician Payment

scholarly journals The social management of medical ethics in sport: confidentiality in English professional football

2017 ◽  
Vol 54 (6) ◽  
pp. 649-665 ◽  
Author(s):  
Ivan Waddington ◽  
Andrea Scott-Bell ◽  
Dominic Malcolm
Keyword(s):  
Medical Ethics ◽  
Sports Medicine ◽  
Professional Autonomy ◽  
Professional Football ◽  
Ethical Challenges ◽  
Ethical Practice ◽  
Medical Work ◽  
Empirical Examination ◽  
Work Settings ◽  
Clinician Behaviour

This paper examines one of the major ethical challenges in the practice of sports medicine, confidentiality. Drawing on interview and questionnaire data with doctors and physiotherapists working in English professional football clubs, it explores the degree to which ethical compliance has improved since the publication of, and publicity surrounding, an earlier study of medical practice in professional football conducted by Waddington and Roderick. Thus, it provides an updated empirical examination of the management of medical ethics in sport. The data illustrate how the physical and social environmental constraints of sports medicine practice impinge upon the protection of athlete-patient confidentiality, how ethical codes and conflicting obligations converge to shape clinician behaviour in relation to lifestyle and injury issues, and the ethically problematic contractual constraints under which clinicians and athletes operate. It demonstrates that medical ethical practice continues to be very variable and draws on Freidson’s work on medical ‘work settings’ to argue that there is a need to augment existing confidentiality policies with more structurally oriented approaches to ensure both professional autonomy and medical ethical compliance in sport.

Ethical Challenges and Interventional Pain Medicine

2011 ◽  
Vol 16 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Gary J. Brenner ◽  
Karsten Kueppenbender ◽  
Jianren Mao ◽  
Jeffrey Spike
Keyword(s):  
Pain Medicine ◽  
Ethical Challenges

scholarly journals Medical ethics and the trolley problem

2019 ◽  
Author(s):  
Gabriel Andrade
Keyword(s):  
Medical Ethics ◽  
Double Effect ◽  
Trolley Problem ◽  
Ethical Challenges ◽  
Doctrine Of Double Effect ◽  
Life And Death ◽  
Ethical Decisions ◽  
Moral Decisions ◽  
Philippa Foot ◽  
Alternative Scenarios

The so-called Trolley Problem was first discussed by Philippa Foot in 1967 as a way to test moral intuitions regarding the doctrine of double effect, Kantian principles and utilitarianism. Ever since, a great number of philosophers and psychologists have come up with alternative scenarios to further test intuitions and the relevance of conventional moral doctrines. Given that physicians routinely face moral decisions regarding life and death, the Trolley Problem should be considered of great importance in medical ethics. In this article, five “classic” trolley scenarios are discussed: the driver diverting the trolley, a bystander pulling a lever to divert the trolley, a fat man being thrown from a bridge to stop the trolley, a bystander pulling a lever to divert a trolley so that a fat man may be run over, and a bystander pulling a lever so that a fat man falls off from a bridge to stop the trolley. As these scenarios are discussed, relevant moral differences amongst them are addressed, and some of the applications in medical ethics are discussed. The article concludes that Trolley scenarios are not the ultimate criterion to make ethical decisions in difficult ethical challenges in medicine cases but they do serve as an initial intuitive guide.    

Professional Ethics in Obstetric Practice, Innovation, and Research

2021 ◽  
pp. 197-211
Author(s):  
Frank A. Chervenak ◽  
Laurence B. McCullough
Keyword(s):  
Medical Ethics ◽  
Professional Ethics ◽  
Home Birth ◽  
Ethical Framework ◽  
Ethical Challenges ◽  
Obstetric Practice ◽  
Ethical Concept ◽  
Practical Guidance ◽  
Planned Home Birth

Obstetric clinical practice, innovation, and research should be guided by professional ethics in obstetrics. In this chapter, the authors distinguish professional medical ethics from medical ethics and bioethics. They set out an ethical framework for obstetrics based on the invention of professional medical ethics by two eighteenth-century physician-ethicists, John Gregory (1724–1773) and Thomas Percival (1740–1804). Professional ethics in obstetrics appeals to the ethical principles of beneficence and respect for autonomy and the ethical concept of the fetus as a patient. This framework is deployed to provide ethically justified, practical guidance about two ethical challenges in obstetric practice: the professionally responsible role of nondirective counseling of pregnant women about induced abortion and the professionally responsible role of directive counseling about planned home birth. This framework is also deployed to provide ethically justified, practical guidance about professionally responsible obstetric innovation and research for fetal benefit.

scholarly journals Jurisdiction of the medical ethics committees

2017 ◽  
Vol 56 (4) ◽  
pp. 193-195
Author(s):  
Božidar Voljč
Keyword(s):  
Medical Ethics ◽  
Ethics Committees ◽  
Educational Institutions ◽  
Ethical Challenges ◽  
Nuremberg Code ◽  
Exclusive Jurisdiction ◽  
National Medical ◽  
Ethics Of Research ◽  
Risk And Benefit ◽  
Research Drug

Abstract Ethical principles of assessing medical research are to the greatest extent defined by the Nuremberg Code, the Declarations of Geneva and Helsinki, and the Oviedo Convention. Pursuant to their directives various national Medical Ethics Committees (MECs) were established which assess the ethics of research according to the risk and benefit ratio of the persons involved. Following the example of other countries, medical ethics committees eventually appeared also in hospitals and some medical and educational institutions around Slovenia. Due to an increased number of ethical challenges, it is of great importance to define the jurisdiction of the Slovenian MECs in order to ensure their coordinated operation. Exclusive jurisdiction of the national MEC includes multicentre and multi-national research, drug research (phases 1–3), high-risk research and research related to doctoral theses. The jurisdiction of the sectoral MECs includes testing the conditions for research, monitoring the execution and overviewing the final reports. A more significant jurisdiction of the sectoral MEC is preserving an ethical environment in their institutions. A network of Slovenian MECs is to be organised in the form of a jurisdiction pyramid where each member has its own obligations and responsibilities and plays an important role in relation to the entire structure.

scholarly journals Knowledge, Attitude, and Practice of Family Medicine Trainees in Saudi Training Programs towards Medical Ethics, in Riyadh

2021 ◽  
Vol 10 (13) ◽  
pp. 968-975
Author(s):  
Abdulrahman Alardan ◽  
Sulaiman Abdullah Alshammari ◽  
Mohammed Alruwaili
Keyword(s):  
Family Medicine ◽  
Medical Ethics ◽  
Cross Sectional Study ◽  
Common Source ◽  
Ethical Challenges ◽  
Nuremberg Code ◽  
Cross Sectional ◽  
Moral Principles ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

BACKGROUND Medical ethics is a system of moral principles that govern the practice of medicine. Ethical challenges frequently arise within the field of family medicine and may lead to complications. We wanted to assess the existing knowledge, attitude, and practice of family medicine trainees currently engaged in Saudi programs in relation to medical ethics in Riyadh. METHODS A cross-sectional study was carried out which encompassed a population size of 256 trainees from a total of nine different training centres. A self-administrated questionnaire containing 28 items was used. The questionnaires were distributed manually during the month of December 2016. RESULTS 208 subjects returned the completed questionnaires with a response rate of 81.25 %. Eighty-eight percent of those surveyed agreed that a knowledge of medical ethics was important in medical practice. The most common source of knowledge of medical ethics and law of work amongst the trainees was found to be "during training" in both medical ethics (71.2 %) and law of work (60.6 %). Significantly, only thirty-eight percent participants had knowledge about content of a Saudi law of practicing healthcare professions. Meanwhile, 63.9 % were unaware of the content of the Hippocratic Code whilst 88.5 % were unaware of the content of the Nuremberg Code. Finally, 93.8 % were unaware of the Helsinki Declaration. In measuring the total scores of answers in relation to ethical problems for different values, the mean score for all respondents was 34.98 out of 50, and 51.92 of residents, got a score ≤ 35. CONCLUSIONS The knowledge, attitude, and practice of trainees toward medical ethics was found to be inadequate. It is, therefore, essential to incorporate teaching of medical ethics into future residency program for trainees as a structured course. KEY WORDS Ethics, Bioethics, Family Medicine, Training, Residency

scholarly journals Ethical Challenges: Oncologists' Role in Immigrant Health Care

2010 ◽  
Vol 6 (5) ◽  
pp. 247-248 ◽  
Author(s):  
Victoria A. Jepson ◽  
John V. Cox ◽  
Jeffrey Peppercorn
Keyword(s):  
Health Care ◽  
Medical Ethics ◽  
Immigrant Health ◽  
Undocumented Immigrants ◽  
Immigration Policies ◽  
Ethical Challenges ◽  
Ethics Guidelines

As health care and immigration policies evolve, oncologists may be faced with challenges regarding care for undocumented immigrants, and must stay abreast of changes in federal and state legal statutes as well as medical ethics guidelines.

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